Case Study

A 67-year-old female with a history of COPD, hypertension, MI, arthritis, and hiatal hernia was recently admitted to the hospital for CHF. Current medications include: Carafate 1gram PO before meals & at h.s.; Celexa 40mg PO daily; Colace 100mg PO BID; Ecotrin 325mg PO daily; Lasix 20mg PO BID; Lopressor 50mg PO BID; Prilosec 20mg PO daily; Robitussin DM 5mL PO q6hr; Theodur 200mg PO BID; and Combivent (albuterol/ipratorium) 2puffs QID.

This activity contains 2 questions.

	Based on this client's history of hiatal hernia, she is obviously at risk for esophageal reflux and thus is on pharmacotherapy for GERD. However, there are other medications she is on which place her at an increased risk for the development of peptic ulcer disease (PUD). Which concomitant medications require prophylactic PUD pharmacotherapy?   To create paragraphs in your essay response, type <p> at the beginning of the paragraph, and </p> at the end.

	Unfortunately, one drug for the management of PUD or GERD will often adversely affect the action of another drug being utilized for the same reason. As a result, patient education regarding appropriate administration of these concomitant drugs is essential. What patient education does this client require related to her administration of sucralfate (Carafate) and omeprazole (Prilosec)?   To create paragraphs in your essay response, type <p> at the beginning of the paragraph, and </p> at the end.

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